ATI RN Concept Based Assessment Level 3
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
The child with Down syndrome should be evaluated for which condition before
participating in some sports?
a. Hyperflexibility
b. Cutis marmorata
c. Atlantoaxial instability
d. Speckling of iris (Brushfield spots) - answer--C. Atlantoaxial instability
- Children with Down syndrome are at risk for atlantoaxial instability. Before
participating in sports that put stress on the head and neck, a radiologic
examination should be done.
Child with Down Syndrome delayed development - answer---nurse should ensure
the child is enrolled in an early stimulation program which provides PHYSICAL
THERAPY to develop motor skills.
manifestations of increased ICP - answer---decreased LOC
-vomiting (often projectile)
-rising bp
-increasing pulse pressure
-bradycardia
-papilledema
-fixed and dilating pupils
-posturing (decorticate and decerebrate)
-HTN
-Cheyne-stokes respirations
, ATI RN Concept Based Assessment Level 3
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
-wide pulse pressure
manifestations of acute glaucoma - answer---headache
-eye pain
-rapid onset of elevated IOP
-vision alterations
-severe pain
-photophobia
manifestations of DKA - answer--dehydration, eyeballs soft and sunken eyes, ab
pain, anorexia, KUSSMAUL RESPIRATIONS, fruity breath
What nursing interventions should take priority on a client with placenta previa at
36 weeks gestation? - answer---initiate large-bore IV access
Education for preventing child-hood obesity - answer---avoid using foods as a
reward for good behavior
-have healthy foods like fruits and veggies available for snacking
-limit television watching to 2hr or less each day
-avoid offering juice drinks (high sugar content)
positive symptoms of schizophrenia - answer--Delusions of reference,
delusions of persecution,
, ATI RN Concept Based Assessment Level 3
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
delusions of grandeur,
thought broadcasting,
though insertion
-magical thinking
-auditory hallucinations
-clang association
disorganized thought,
disorganized behavior,
catatonia
negative symptoms of schizophrenia - answer---disturbance of affect
-blunting (severe reduction in the intensity of affect expression)
-flat affect
-inappropriate affect (might laugh hysterically while describing someones death)
-emotional ambivalence
nursing priority for patient with WILMs Tumor - answer---avoid palpation of
abdomen to avoid tumor rupture
What is Wilm's tumor? - answer--Renal tumor of embryonal origin that is most
commonly seen in children 2-5yrs
Assoc w/ Beckwith-Wiedemann syndrome (hemihypertrophy, macroglossia,
visceromegaly), NF, and WAGR syndrome (Wilms' Aniridia, Genitourinary
abnormalities, mental retardation)
, ATI RN Concept Based Assessment Level 3
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
Nursing intervention for child born at 33wks and is 2 days old - answer---position
newborn SIDE-LYING or Prone while in nursery.
-bathe child in PLAIN WATER ONLY
-initiate skin-to-skin contact regardless of age or weight of newborn
-lights should be dimmed during the night and at intervals during the day
intimate partner violence teaching - answer---nurses priority is to provide safety
and develop a safety plan.
Teaching for minimizing behavioral problems with client who has Alzheimer's
disease (AD) - answer---briefly leave the room when client becomes agitated
-use a soft, calm tone of voice
-avoid crowds of people when taking client on outings.
manifestations of prenatal complications - answer---swelling of finders, face, and
sacral area (these are hypertensive conditions like PREECLAMPSIA)
PYROSIS - answer--heartburn; burning sensation in upper abdomen due to reflux
of gastric acid
leukorrhea - answer--a profuse, whitish mucus discharge from the uterus and
vagina
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
The child with Down syndrome should be evaluated for which condition before
participating in some sports?
a. Hyperflexibility
b. Cutis marmorata
c. Atlantoaxial instability
d. Speckling of iris (Brushfield spots) - answer--C. Atlantoaxial instability
- Children with Down syndrome are at risk for atlantoaxial instability. Before
participating in sports that put stress on the head and neck, a radiologic
examination should be done.
Child with Down Syndrome delayed development - answer---nurse should ensure
the child is enrolled in an early stimulation program which provides PHYSICAL
THERAPY to develop motor skills.
manifestations of increased ICP - answer---decreased LOC
-vomiting (often projectile)
-rising bp
-increasing pulse pressure
-bradycardia
-papilledema
-fixed and dilating pupils
-posturing (decorticate and decerebrate)
-HTN
-Cheyne-stokes respirations
, ATI RN Concept Based Assessment Level 3
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
-wide pulse pressure
manifestations of acute glaucoma - answer---headache
-eye pain
-rapid onset of elevated IOP
-vision alterations
-severe pain
-photophobia
manifestations of DKA - answer--dehydration, eyeballs soft and sunken eyes, ab
pain, anorexia, KUSSMAUL RESPIRATIONS, fruity breath
What nursing interventions should take priority on a client with placenta previa at
36 weeks gestation? - answer---initiate large-bore IV access
Education for preventing child-hood obesity - answer---avoid using foods as a
reward for good behavior
-have healthy foods like fruits and veggies available for snacking
-limit television watching to 2hr or less each day
-avoid offering juice drinks (high sugar content)
positive symptoms of schizophrenia - answer--Delusions of reference,
delusions of persecution,
, ATI RN Concept Based Assessment Level 3
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
delusions of grandeur,
thought broadcasting,
though insertion
-magical thinking
-auditory hallucinations
-clang association
disorganized thought,
disorganized behavior,
catatonia
negative symptoms of schizophrenia - answer---disturbance of affect
-blunting (severe reduction in the intensity of affect expression)
-flat affect
-inappropriate affect (might laugh hysterically while describing someones death)
-emotional ambivalence
nursing priority for patient with WILMs Tumor - answer---avoid palpation of
abdomen to avoid tumor rupture
What is Wilm's tumor? - answer--Renal tumor of embryonal origin that is most
commonly seen in children 2-5yrs
Assoc w/ Beckwith-Wiedemann syndrome (hemihypertrophy, macroglossia,
visceromegaly), NF, and WAGR syndrome (Wilms' Aniridia, Genitourinary
abnormalities, mental retardation)
, ATI RN Concept Based Assessment Level 3
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
Nursing intervention for child born at 33wks and is 2 days old - answer---position
newborn SIDE-LYING or Prone while in nursery.
-bathe child in PLAIN WATER ONLY
-initiate skin-to-skin contact regardless of age or weight of newborn
-lights should be dimmed during the night and at intervals during the day
intimate partner violence teaching - answer---nurses priority is to provide safety
and develop a safety plan.
Teaching for minimizing behavioral problems with client who has Alzheimer's
disease (AD) - answer---briefly leave the room when client becomes agitated
-use a soft, calm tone of voice
-avoid crowds of people when taking client on outings.
manifestations of prenatal complications - answer---swelling of finders, face, and
sacral area (these are hypertensive conditions like PREECLAMPSIA)
PYROSIS - answer--heartburn; burning sensation in upper abdomen due to reflux
of gastric acid
leukorrhea - answer--a profuse, whitish mucus discharge from the uterus and
vagina
